NPIMap

Individual provider Active NPI

Carly S Moyer, FNP-C

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1427417401
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R170151 Issued in MD
Practice address
1807 Reisterstown Rd
Baltimore, MD 21208-1304
Phone
(888) 808-6483
NPI assigned
Feb 18, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R170151 MD Primary

Addresses

Primary practice location

1807 Reisterstown Rd
Baltimore, MD 21208-1304

Mailing address

8816 Old Harford Rd
Baltimore, MD 21234-2824
Phone (443) 309-2472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160818000216 MD Practitioner - Nurse Practitioner 8820383631 Reassigns benefits to 4 organizations
I20170508000859 DC Practitioner - Nurse Practitioner 8820383631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians
Maryland Spine Center CharteredGroup PAC ID 0446142673, 6 clinicians

Practice addresses (Care Compare)

187 Thomas Johnson Dr
Frederick, MD 21702-4503

301 Saint Paul St
Lowr Level
Baltimore, MD 21202-2102
Phone (410) 539-3434

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R170151MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2016 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2016 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Johns Hopkins University Current Accepting new patients
Maryland Spine Center Chartered CurrentSince Oct 11, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

301 Saint Paul St
Lowr
Baltimore, MD 21202

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

7698 Dorchester Blvd
Ste 204
Hanover, MD 21076

8125 Ritchie Hwy
Ste H
Pasadena, MD 21122
Phone (410) 544-6483

1807 Reisterstown Rd
Pikesville, MD 21208
Phone (443) 334-6038

114 Business Center Dr
Reisterstown, MD 21136
Phone (410) 661-3338

12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

3350 Crain Hwy
Waldorf, MD 20603
Phone (443) 332-4260

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Interoperability endpoints

  • Direct secure messaging: cmoyer93542@direct.mdmercy.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1427417401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8816 OLD HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212342824",
            "telephone_number": "443-309-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212081304",
            "telephone_number": "888-808-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "CARLY",
        "middle_name": "S",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R170151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.